Abstract
Chronic granulomatous disease (CGD) is a rare inherited disorder in which phagocytes lack NADPH oxidase activity. The most common form is caused by mutations in the CYBB gene encoding gp91phox protein, the heavy chain of cytochrome b558, which is the redox element of NADPH oxidase. In some rare cases, the mutated gp91phox is normally expressed but no NADPH oxidase can be detected. This type of CGD is called X91+ CGD. We have previously reported an X+ CGD case with a double-missense mutation in gp91phox. Transgenic PLB-985 cells have now been made to study the impact of each single mutation on oxidase activity and assembly to rule out a possible new polymorphism in the CYBB gene. The His303Asn/Pro304Arg gp91phox transgenic PLB-985 cells exactly mimic the phenotype of the neutrophils of the X+ CGD patient. The His303Asn mutation is sufficient to inhibit oxidase activity in intact cells and in a broken cell system, whereas in the Pro304Arg mutant, residual activity suggests that the Pro304Arg substitution is less devastating to oxidase activity than the His303Asn mutation. The study of NADPH oxidase assembly following the in vitro and in vivo translocation of cytosolic factors p47phox and p67phox has demonstrated that, in the double mutant and in the His303Asn mutant, NADPH oxidase assembly is abolished, although the translocation is only attenuated in Pro304Arg mutant cells. Thus, even though the His303Asn mutation has a more severe inhibitory effect on NADPH oxidase activity and assembly than the Pro304Arg mutation, neither mutation can be considered as a polymorphism.
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Baehner RL, Kundel LM, Monaco AP, Haines JL, Conneally PM, Palmer C, Heerema N, Orkin SH (1986) DNA linkage analysis of X chromosome-linked chronic granulomatous disease. Proc Natl Acad Sci USA 83:3398–3401
Batot G, Paclet MH, Doussière J, Vergnaud S, Martel C, Vignais PV, Morel F (1998) Biochemical and immunochemical properties of B lymphocyte cytochrome b558. Biochim Biophys Acta 1406:188–202
Bonizzato A, Russo MP, Donini M, Dusi S (1997) Identification of a double mutation (D160 V-K161E) in the p67phox gene of a chronic granulomatous disease patient. Biochem Biophys Res Commun 231:861–863
Bradford MM (1976) A rapid and sensitive method for quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem 72:248–254
Cheng G, Cao Z, Xu X, Meir EG van, Lambeth JD (2001) Homologs of gp91phox: cloning and tissue expression of Nox3, Nox4, and Nox5. Gene 269:131–140
Cohen-Tanugi L, Morel F, Pilloud-Dagher MC, Seigneurin JM, François P, Bost M, Vignais PV (1991) Activation of\({\text{O}}_2^ - \) generating oxidase in heterologous cell-free system derived from Epstein-Barr-virus-transformed human B lymphocytes and bovine neutrophils. Eur J Biochem 202:649–655
Cooper DN, Krawczak M (1990) The mutational spectrum of single base-pair substitutions causing human genetic disease: patterns and predictions. Hum Genet 85:55–74
Cross AR, Heyworth PG, Rae J, Curnutte JT (1995) A variant X-linked chronic granulomatous disease patient (X91+) with partially functional cytochrome b. J Biol Chem 270:8194–8200
Dahlgren C, Karlsson A (1999) Respiratory burst in human neutrophils. J Immunol Methods 232:3–14
DeLeo FR, Burritt JB, Lixin Y, Jesaitis AJ, Dinauer MC, Nauseef W (2001) Processing and maturation of flavocytochrome b558 include incorporation of heme as a prerequisite for heterodimer assembly. J Biol Chem 275:13986–13993
Guex N, Peitsch MC (1997) Swiss-model and the Swiss-PdbViewer: an environment for comparative protein modeling. Electrophoresis 18:2714–2723
Heyworth PG, Cross AR, Curnutte JT (2003) Chronic granulomatous disease. Curr Opin Immunol 15:578–584
Kuribayashi F, Boer M de, Leusen JH, Verhoeven AJ, Roos D (1996) A novel polymorphism in the coding region of CYBB the human gp91-phox gene. Hum Genet 97:611–613
Laemmli UK (1970) Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature 227:680–685
Lalucque H, Silar P (2003) NADPH oxidase: an enzyme for multicellularity? Trends Microbiol 11:9–12
Leusen JHW, Boer M de, Bolscher GJM, Hilarius PM, Weening RS, Ochs HD, Roos D, Verhoeven AJ (1994) A point mutation in gp91-phox of cytochrome b558 of the human NADPH oxidase leading to defective translocation of the cytosolic proteins p47-phox and p67-phox. J Clin Invest 93:2120–2126
Leusen JHW, Meischl C, Eppink MHM, Hilarius PM, Boer M de, Weening RS, Ahlin A, Sanders L, Goldblatt D, Skopczynska H, Bernatowska E, Palmblad J, Verhoeven AJ, Berkel WJH van, Roos D (2000) Four novel mutations in the gene encoding gp91-phox of human NADPH oxidase: consequences for oxidase assembly. Blood 95:666–673
Paclet MH, Coleman AW, Vergnaud S, Morel F (2000) P67-phox mediated NADPH oxidase assembly: imaging of cytochrome b558 liposomes by atomic force microscopy. Biochemistry 39:9302–9310
Povey S, Lovering R, Bruford E, Wright M, Lush M, Wain H (2001) The Hugo Gene Nomenclature Committee (HGNC). Hum Genet 109:678–680
Roos D, Boer M de, Kuribayashi F, Meischl C, Weening RS, Segal AW, Ahlin A, Nemet K, Hossle JP, Bertatowska-Matuskiewicz E, Middletone-Price H (1996) Mutations in the X-linked and autosomal recessive forms of chronic granulomatous disease. Blood 87:1663–1681
Royer-Pokora B, Kundel LM, Monaco AP, Goff SC, Newburger PE, Baehner RL, Cole FS, Curnutte JT, Orkin SH (1986) Cloning the gene for an inherited disorder-chronic granulomatous disease-on the basis of its chromosomal localisation. Nature 322:32–38
Saad FA, Merlini L, Mostacciulo ML, Danieli GA (1998) Double missense mutation in exon 41 of the human dystrophin gene detected by double strand conformation analysis. Am J Med Genet 80:99–102
Segal BM, Leto TL, Gallin JI, Malech HL, Holland SM (2000) Genetic, biochemical, and clinical features of chronic granulomatous disease. Medicine (Baltimore) 79:170–200
Skalnik DG, Strauss EC, Orkin SH (1991) CCAAT displacement protein as a repressor of the myelomonocytic-specific gp91-phox gene promoter. J Biol Chem 266:16736–16744
Smith PK, Krohn RI, Hermanson GT, Mallia AK, Gartner FH, Provenzano MD, Fujimoto EK, Goeke NM, Olson BJ, Klenk DC (1985) Measurement of protein using bicinchoninic acid. Anal Biochem 150:76–85
Stasia MJ, Lardy B, Maturana A, Rousseau P, Martel C, Bordigoni P, Demaurex N, Morel F (2002) Molecular and functional characterization of a new X-linked chronic granulomatous disease variant (X91+) case with a double missense mutation in the gp91-phox-cytosolique C-terminal tail. Biochem Biophys Acta 1586:316–330
Stasia MJ, Brion JP, Boutonnat J, Morel F (2003) Severe clinical forms of cytochrome b-negative chronic granulomatous disease (X91−) in three children with point mutation in the promoter region of the CYBB gene. J Infect Dis 188:1593–1604
Stenson PD, Ball EV, Mort M, Phillips AD, Shiel JA, Thomas NS, Abeysinghe S, Krawczak M, Cooper DN (2003) Human gene mutation database (HGMD). Hum Mutat 21:577–581
Taylor WR, Jones DT, Segal AW (1993) A structural model for the nucleotide binding domains of the flavocytochrome b-245 b-chain. Protein Sci 2:1675–1685
Torres MA, Onouchi H, Hamada S, Machida C, Hammond-Kosack KE, Jones JDG (1998) Six Arabinopsis thaliana homologues of the human respiratory burst oxidase (gp91-phox). Plant J 14:365–370
Towbin H, Staehelin T, Gordon J (1979) Electrophoretic transfer of proteins from polyacrylamide gels to nitrocellulose sheets: procedure and some application. Proc Natl Acad Sci USA 76:4350–4354
Tucker KA, Lilly MB, Heck L Jr, Rado TA (1987) Characterization of a new human diploid myeloid leukemia cell line (PLB-985) with granulocytic and monocytic differentiating capacity. Blood 70:372–378
Van Belzen MJ, Hiel JA, Weemaes CM, Gabreels FJ, Engelen BG van, Smeets DF, Heuvel LP van den (1998) A double missense mutation in the ATM gene of a Dutch family with ataxia telangiectasia. Hum Genet 102:187–191
Verhoeven AJ, Bolscher GJM, Meerhof L, Zwieten R van, Keijer J, Weening RS, Roos D (1989) Characterization of two monoclonal antibodies against cytochrome b558 of human neutrophils. Blood 73:1686–1694
Vignais PV (2002) The superoxide-generating NADPH oxidase: structural aspects and activation mechanism. Cell Mol Life Sci 59:1428–1459
Winkelstein JA, Marino MC, Johnston RB Jr, Boyle J, Curnutte J, Gallin JI, Malech HL, Holland SM, Ochs H, Quie P, Buckley RH, Foster CB, Chanock SJ, Dickler H (2000) Chronic granulomatous disease. Report on a national registry of 368 patients. Medicine (Baltimore) 79:155–169
Yamamoto K, Sato H, Fujiyama Y, Doida Y, Bamba T (1998) Contribution of two missense mutations (G71R and Y486D) of the bilirubin UDP glycosyltransferase (UGT1A1) gene to phenotypes of Gilbert’s syndrome and Criggle Najjar syndrome type II. Biochim Biophys Acta 1406:267–273
Yamauchi A, Yu L, Potgens AJ, Kuribayashi F, Nunoi H, Kanegasaki S, Roos D, Malech HL, Dinauer MC, Nakamura M (2001) Location of the epitope for 7D5, a monoclonal antibody raised against human flavocytochrome b558, to the extracellular peptide portion of primate gp91phox. Microbiol Immunol 45:249–257
Yu L, Cross AR, Zhen L, Dinauer MC (1999) Functional analysis of NADPH oxidase in granulocytic cells expressing a Δ 488–497 pg91-phox deletion mutant. Blood 94:2497–2504
Zhen L, King AA, Xiao Y, Chanock SJ, Orkin SH, Dinauer MC (1993) Gene targeting of X chromosome-linked chronic granulomatous disease locus in a human myeloid leukemia cell line and rescue by expression of recombinant gp91-phox. Proc Natl Acad Sci USA 90:9832–9836
Acknowledgements
We are grateful to Dr. Mary C. Dinauer for the generous gift of X-CGD PLB-985 cells and for critical reading of the manuscript and helpful suggestions. We thank Dr. François Boulay and Dr. Marie Josephe Rabiet for their judicious advice in transfection experiments. The 7D5 and the mAb against p47phox were generous gifts from Dr. Michio Nakamura and Dr. Paul G. Heyworth, respectively. We also thank Ms. Linda Northrup for correction of the English. This work was supported by grants from the Université Joseph Fourier, Faculté de Médecine; the Région Rhône-Alpes, programme Emergence; the Ministère de l’Education et de la Recherche; MENRT; and the Direction de la Recherche Régionale Clinique, DRRC.
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Clara Bionda and Xing Jun Li contributed equally to this work
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Bionda, C., Li, X.J., van Bruggen, R. et al. Functional analysis of two-amino acid substitutions in gp91phox in a patient with X-linked flavocytochrome b558-positive chronic granulomatous disease by means of transgenic PLB-985 cells. Hum Genet 115, 418–427 (2004). https://doi.org/10.1007/s00439-004-1173-z
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DOI: https://doi.org/10.1007/s00439-004-1173-z